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Contact Information

JEFFREY J BLANCO, OD
1802 N. DIVISION ST.
SUITE 205
MORRIS, IL60450
 Phone: 815-942-3042
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFREY J BLANCO · (Male)

NPI Number 1952454191
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/19/2007
Last updated 03/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 46-6809
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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